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乌拉圭蒙得维的亚学龄前儿童贫血、儿童及家庭特征与血铅浓度升高的关联

Association of anemia, child and family characteristics with elevated blood lead concentrations in preschool children from Montevideo, Uruguay.

作者信息

Queirolo Elena I, Ettinger Adrienne S, Stoltzfus Rebecca J, Kordas Katarzyna

机构信息

Center for Research, Catholic University of Uruguay, Montevideo, Uruguay Clinic for Environmental Contaminants, Pereira Rossell Hospital, Montevideo, Uruguay.

出版信息

Arch Environ Occup Health. 2010 Apr-Jun;65(2):94-100. doi: 10.1080/19338240903390313.

Abstract

Elevated blood lead levels (BPbs) have been identified in Uruguayan children in the La Teja neighborhood of Montevideo, but the extent of lead exposure in other city areas is unknown. Sources and predictors of exposure also remain understudied in this population. In 2007, the authors screened lead and hemoglobin levels in capillary blood of 222 preschool children from several areas of Montevideo, Uruguay, and identified predictors of elevated BPbs. Mean BPb was 9.0 +/- 6.0 microg/dL and 32.9% of children had levels >or= 10microg/dL. Mean hemoglobin level was 10.5 +/- 1.5 g/dL, with 44.1% having levels <10.5g/dL. Older child age, hemoglobin <10.5g/dL, and putting fingers/toys in the mouth were associated with higher BPbs. Young maternal age, less education, father's job with potential risk of lead exposure, and fewer family possessions were also associated with higher BPbs. Pediatric lead exposure is a public health problem in Uruguay, with children experiencing elevated BPbs at a young age.

摘要

在蒙得维的亚拉泰亚社区的乌拉圭儿童中已发现血铅水平升高,但其他城市地区的铅暴露程度尚不清楚。该人群中铅暴露的来源和预测因素也仍未得到充分研究。2007年,作者对来自乌拉圭蒙得维的亚几个地区的222名学龄前儿童的毛细血管血中的铅和血红蛋白水平进行了筛查,并确定了血铅水平升高的预测因素。平均血铅水平为9.0±6.0微克/分升,32.9%的儿童血铅水平≥10微克/分升。平均血红蛋白水平为10.5±1.5克/分升,44.1%的儿童血红蛋白水平<10.5克/分升。年龄较大的儿童、血红蛋白<10.5克/分升以及将手指/玩具放入口中与较高的血铅水平相关。母亲年龄较小、受教育程度较低、父亲的工作有铅暴露潜在风险以及家庭财产较少也与较高的血铅水平相关。在乌拉圭,儿童铅暴露是一个公共卫生问题,儿童在幼年时血铅水平就会升高。

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